DIRECTORATE OF SCHOOL EDUCATION GOVT OF MIZORAM TEACHERS PROFILE

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Name of School:

DIRECTORATE OF SCHOOL EDUCATION

Govt. of Mizoram

TEACHERS PROFILE REPORT FORM

INSTRUCTIONS

  1. Only Teachers, including Headmasters and Principals must be recorded in this Form/database.

  2. Name should be as recorded in the Service Book or Educational Certificate.

  3. Number of family members must be as declared in the service book.

  4. Hindi Teachers are instructed to write their general educational qualifications in addition to qualifications in Hindi.

  5. Controlling officers are requested to ensure the correctness of the information given by the teachers by comparing with their service books and other records available with them.

  6. New incumbents are requested to report using this form only.

  7. Any change in individual profile may be reported to this Directorate though e-mail:[email protected]

  8. The completed form must be submitted to MIS Cell, Directorate of School Education.


  1. PERSONAL INFORMATION

  1. Name of Teacher:________________________________ 2) Gender: Male/ Female___ 3) Date of Birth: ______________ 4) Aadhar No.(optional):_____________________

  1. Designation: (eg.Headmaster /Hindi Teacher /Principal /Vice Principal /Teacher /Art Instructor/ H&P Instructor/Lecturer,etc..)_________________________________

  2. Name of Father:__________________________ & Mother : _____________________

7) Marital Status: Single/Married 8) If married, Name of spouse: ____________________

  1. Profession of Spouse & Designation: _________________________________________

  2. No. of family members:___ 11) EPIC No______________ 12) Blood Group: ____

13) Contact Numbers: a) Mobile:_______________________

  1. Landline with STD Code:_______________ c) E-mail:_________________________

  1. a) Present Address: _______________________________________________________

_______________________________________________________

  1. Permanent Address:_____________________________________________________

_______________________________________________________

B. SERVICE INFORMATION

  1. Type of Present Appointment (e.g Contract /CSS /Deficit /RMSA /SSA /Government/ Adhoc Aided)

  2. Serial or Rank No.in the appointment order (if known to you): ______

  3. Subject of Appointment or Subject being taught: __________________

  4. Teacher Grade:(e.g Selection/Senior): ______________________

  5. Dates of Appointment as (whichever is applicable)

    1. A contractual (or CSS) Teacher: __________ & Date of Joining: _______________

    2. Aided Teacher:___________ Date of Joining: _______________

3) A Deficit Teacher: __________ Date of Joining: _______________

4) A Government Teacher:__________ Date of Joining: _______________

5) Date of Confirmation: ___________

7. Type of Pension:- a) No Pension b) New Pension c) Pension (tick one)

8. a) GPF A/C No.___________ b) New Pension Scheme Permanent No._______________

c) New Pension Scheme Temporary No. _________________

C. SCHOOL INFORMATION

  1. Name of School: _________________________________________.

  2. Management(e.g Deficit Mission/ Deficit/ Government/ SSA/ RMSA/ Adhoc Aided/ Grant in Aid/ Local Body/ Lumpsum Aided) ___________

  3. Stage where teaching is done:(e.g Primary/Middle/High School/Hr.Sec)

  4. Type of School: (e.g Co-educational/Girls/Boys)_______________

  5. Medium of teaching/ instruction in the school: ________________

  6. Designation of the DDO: ____________________________________________

& Office Address:_______________________________________________________

________________________________________________________

  1. DEO/ SDEO/ Education Officer & Address: ___________________________________

______________________________________________________________________

  1. School Address:___________________________________________

Village :____________________; District: _____________ ; Pin: __________

Phone with STD Code: ____________ E-mail:___________________

RD Block:_________________


D. EDUCATIONAL & PROFESSIONAL(Teacher Training) INFORMATION

1. Highest Educational Qualification in Arts _______________ Science _________________ Commerce ____________ Computer/IT_______________ Hindi ____________________

Others ____________

2. Professional Training: Dip.Ed/ B.Ed/ M.Ed/ Hindi Shikshan Diploma/ B.Ed(Hindi) _______________ & Year of completion _____

E. POSTING INFORMATION

S.No

Name of School

Place of Working

Designation

DEO/SDEO/EO

Village

With effect from

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2







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(add rows if necessary)

The information given above are true to the best of my knowledge.



Date:- Signature:

Name of the Teacher:


The information furnished by Mr/Ms/Mrs. _____________________________ are checked and found correct according to the records available with us.



Date: Signature:

Name of the Head of Institution:


Countersigned by Education Officer/SDEO/DEO with date

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